Foundations of the U.S. Health Care System

  • HealthXcelerate
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Gain an overview of the defining features of the U.S. health care system including structure, financing, and stakeholders.

  • Online; Self-Paced

Enroll and gain access to course materials to complete at your own pace.

$495

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Certificate

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3-4 Hours

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Overview

In Foundations of the U.S. Health Care System, led by Bruce Landon, MD, MBA, MSc, you will gain an overview of the defining features of the U.S. health care system, including structure, financing, and stakeholders. 

By exploring the origins and implications of employer-sponsored health care, you will see the challenges and trade-offs of access, cost, and quality. During this course, you will also discover how the U.S. system compares to international systems in terms of health outcomes, costs, payment models, and price regulations.

Learning Objectives

  • Describe the main characteristics and historical evolution of the U.S. health care system in a global context.
  • Compare the health outcomes of U.S. health care with other developed countries.
  • Learn about the causes and impacts of rising health care costs in the United States.
  • Examine the financing mechanisms of the U.S. health care system, including sources of funding, insurance models, and payment systems.
  • Understand the significant advances and persistent challenges in the U.S. health care system.

Who Should Participate

Health care professionals throughout the industry seeking better understanding of the health care system

What Will You Gain

  • A confident working knowledge of how the U.S. system is structured, financed, and governed 

  • An understanding of the core trade-offs between cost, access, and quality 

  • A global lens for placing U.S. performance and challenges in broader context 

  • Insight into industry and academic perspectives on the biggest challenges and opportunities facing the sector 

About the Course

HealthXcelerate courses offer a foundational, 360‑degree view of the health care ecosystem, drawing on the expertise of Harvard Medical School faculty and industry leaders. With a focus on the patient experience, the curriculum explores how the U.S. system compares with those of other countries, how clinical care connects to the broader health care industry, and how patients navigate and influence the system. Learners who complete HealthXcelerate courses build fluency and credibility in communicating key issues, critically assessing barriers to quality and access, and identifying opportunities for leadership and innovation.

Who Should Participate

This program will benefit industry and clinical leaders across the health care ecosystem; research and innovation managers with increasing global responsibility; entrepreneurs and consultants; business and technology professionals who work closely with health care organizations; and those transitioning into the health care space.

Extend Your Learning and Save More

Whether you are building your medical science knowledge, preparing for advanced study, or expanding your understanding of the health care ecosystem, combining courses helps you connect concepts across disciplines while saving on enrollment.

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Combine up to five courses and unlock discounts up to 40%

You can bundle up to five HMX or HealthXcelerate courses. Bundle discounts apply to all courses selected. A bundle can consist of courses in the same upcoming enrollment period or the following enrollment period. 

Two-course bundle: 25% discount 
Three-course bundle: 30% discount 
Four-course bundle: 35% discount
Five-course bundle: 40% discount

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Multi-course discounts will be changing on October 1, 2026. Register now and lock in these savings by bundling multiple courses.

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HMX and HealthXcelerate Learning Pass

Unlock both HMX and HealthXcelerate courses all year long with one simple enrollment fee

With the HMX and HealthXcelerate Learning Pass, a $4,950 investment unlocks one year of unlimited enrollment to Harvard Medical School's portfolio of HMX and HealthXcelerate online courses, empowering you to advance your knowledge of health care and medical science in the areas that matter most to your goals. Start Learning

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HMX and HealthXcelerate courses are ideal for organizations looking to train teams or larger groups. Group pricing is available, making it a cost-effective investment in team development.

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Frequently Asked Questions

Follow the link below for more information around payment and policies.

Foundations of the U.S. Health Care System is an online course offered by Harvard Medical School (HMS) through its HealthXcelerate portfolio, designed to provide professionals with a comprehensive understanding of the structure, financing, regulation, and delivery models of U.S. health care.

  • Format: 100% online, interactive, and flexible
  • Focus Areas: Health care economics, payment models, policy, clinical operations, and health system innovation 

This course is designed for non-clinical and clinical professionals, corporate executives, health tech entrepreneurs, consultants, and policymakers who need to navigate the complexities of the U.S. health care landscape.  

This course may particularly interest professionals such as:

  • Biotech, pharma, and MedTech leaders
  • Health care technology founders and product managers
  • Payers, insurance administrators, and providers
  • Financial, legal, and management consultants working in health care 

The curriculum covers the fundamental mechanisms driving the U.S. health care system, with a focus on stakeholder incentives, regulatory policies, and market dynamics.

Key Topics Include:

  • Health Care Financing & Payment Models: Fee-for-service vs. value-based care, Medicare, Medicaid, and private insurance.
  • System Structure & Delivery: Hospitals, outpatient networks, primary care, and integrated delivery systems.
  • Regulation & Policy: Federal and state regulations, FDA oversight, and public health policy.
  • Innovation & Market Dynamics: Emerging technologies, digital health adoption, and cost-containment strategies. 

No, there are no clinical prerequisites or prior health care experience required to enroll in this course. It is structured to be accessible and actionable for professionals from diverse industries, including technology, finance, policy, and business management.

Participants who successfully complete the course requirements receive a Certificate of Completion from Harvard Medical School.

The course is delivered entirely online via a modern digital learning platform, requiring an estimated commitment of 3 to 4 hours total.

  • Learning Components: On-demand video lectures, real-world case studies, and knowledge checks.
  • Flexibility: Designed to accommodate the schedules of working executives and full-time professionals.

HealthXcelerate courses are designed by Harvard Medical School educators and feature leading faculty and experts. This course is led by:  

Bruce E. Landon, MD, MBA, MSc
Professor of Health Care Policy, Department of Health Care Policy, Harvard Medical School
Professor of Medicine and Practicing Internist, Beth Israel Deaconess Medical Center 

This course helps non-traditional health care professionals better understand how health care decisions, reimbursements, and regulations actually work in practice.

Key Benefits:

  • Identify who pays for solutions (payers vs. providers vs. patients)
  • Understand regulatory hurdles before launching products
  • Communicate more effectively with hospital C-suites, clinicians, and health policy leaders 

HealthXcelerate courses from Harvard Medical School are high-impact, short-format professional development programs focused on immediate, practical application rather than multi-year academic study.

  • Speed to Impact: Completed in hours rather than years.
  • Practical Focus: Emphasizes operational and strategic insights over theoretical research.
  • Accessibility: Open enrollment without the standard graduate school application process.

Enroll online directly as an individual or Contact Our Team for inquiries regarding group enrollment discounts.

Faculty Leads

Each course within the HealthXcelerate program features Harvard Medical School faculty and leading experts in the field.

HealthXcelerate is an excellent opportunity to learn more about all aspects of the U.S. health care system. The flexible course framework makes it easier to integrate into my busy work days than other programs.

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